cms_GA: 4542
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4542 | PIONEER HEALTH OF CENTRAL GEORGIA | 115564 | 712 PATTERSON STREET | BYROMVILLE | GA | 31007 | 2016-12-10 | 248 | D | 0 | 1 | QBL111 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, medical record review and staff interview, the facility failed to ensure one of 45 sample residents (R#88) was provided with an adequate program of activities designed to meet the needs of the individual who was dependent on staff for all meaningful activity, stimulation and interaction. Findings include: Resident (R)#88 was admitted to the facility on [DATE] with diagnoses, according to the 11/1/16 Admission Data Collection & Evaluation, of [MEDICAL CONDITION] alcoholic [MEDICAL CONDITION], Wernicke's disease and [MEDICAL CONDITION]. The admission Minimum Data Set (MDS - a comprehensive assessment completed by facility staff that drives the care planning process), with an assessment reference date of 11/10/16, documented R#88 experience little interest in doing things (section D0500). She enjoyed music, group activities, time outdoors and religious activities per staff assessment (section F0800). The corresponding activities Care Area Assessment (CAA) documented, Resident is disoriented and uninterviewabl. Relies on staff to meet all her needs. She mumbles at times but is unable to make needs known or understand others. She is up in (geri)-chair in social areas most of the day for social interaction and stimulation. A 12/5/16 activities Care Plan documented, I am at risk for social and sensory stimulation. I require (one-to-one) visits. The interventions included: (One-to-one) visits to provide social and sensory stimulation as indicated . Assist to group activities that are appropriate as tolerated . Resident up out of bed and place in open areas for social stimulation. The 11/3/16 Activity Data Collection form documented the resident preferred activities in the morning and preferred large group settings. The resident's indicators requiring adaptation included: behaviors, cognitive impairment, physical limitations, and inability to leave her room. She had an interest in going outside. The form documented, Husband state (sic) she use (sic) to love to color and crossword/ word search. The form further documented, Act. has called several time (sic) unable to reach family. Phone hung up on husband and Act. data was not complete. On 12/6/16 from 10:00 a.m. to 4:00 p.m. R#88 was observed in 10 to 15 minute intervals; during each observation, she was observed seated in her wheelchair in the lobby area near the dining room entrance. She was awake, and was pulling on the lap tray on her wheelchair. During the observations, R#88 did not participate in any of the group activities or receive any interaction or stimulation from the staff. There was no sensory keyboard on her lap tray. On 12/7/16 from 6:05 a.m. to 8:37 a.m., five residents who were wheelchair-bound and unable to propel themselves independently were observed seated in the small lobby area near the dining room entrance. Three of the five residents were sleeping. At 6:32 a.m., R#88 was also wheeled out to this area, where she was parked in front of the wall as she continued to sleep. There was no television or music, and no stimulation or interaction with the residents of any kind. There was no sensory keyboard on her lap tray. On 12/7/16 at 9:10 a.m., R#88 was put into her bed. There was no television, music, or stimulation. The room was sparsely decorated. The resident remained in bed until 12:11 p.m., when she was taken to lunch. On 12/8/16 from 10:15 a.m. to 12:00 p.m., at 2:00 p.m., from 2:15 p.m. to 3:00 p.m., from 3:10 p.m. to 4:45 p.m., and from 5:06 to 6:00 p.m., R#88 was observed in the lobby seated in her wheelchair against the wall. She was not a part of the group activities and did not receive any assistance from staff to engage in the activities. There was no sensory keyboard on her lap tray. On 12/10/16 at 11:30 a.m., the Activity Director (AD) stated R#88 received one-to-one activity visits three times a week, where she would be taken outside, have her nails done or converse with staff. The AD stated R#88 used a sensory activity board on top of her lap trays at times for independent activity. The AD stated R#88 was unable to engage in most group activities, but she brought her to the common areas where group activities took place for some passive stimulation. The AD stated, I try my best to keep the residents (who cannot participate in group activities) out in the lobby or take them to the lobby to watch TV. When asked if she provided any engagement or meaningful activity to the residents seated passively in the lobby, including R#88, she stated she was always going through there constantly. I know I can't be there all the time but try to stop by. If I see someone agitated, we try to move them. | 2019-09-01 |